Narrative Exposure Therapy: Expanding Virtual Treatment of Posttraumatic Stress Disorder to the Postpartum Period.
Michelle L Miller, Rachel S Wasson, Lily J Jiang...
https://pubmed.ncbi.nlm.nih.gov/40395722/Actively Recruiting
Led by Indiana University · Updated on 2026-06-18
106
Participants Needed
1
Research Sites
30 weeks
Total Duration
The NEXT Study is a pilot randomized controlled trial evaluating the feasibility and acceptability of a revised perinatal PTSD treatment protocol. It focuses on perinatal women with post-traumatic stress disorder, aiming to find the most suitable brief virtual intervention for this group. The study compares a new therapy approach with usual care to improve support for women during pregnancy and postpartum. Participants are randomly assigned to one of two groups the treatment group receives Narrative Exposure Therapy NET, a manualized, short-term exposure-based intervention delivered virtually in about four sessions. NET includes psychoeducation, constructing a life events timeline, exposure sessions to retell traumatic events, and reading a written trauma narrative. The comparator group receives usual care involving symptom monitoring and encouragement to engage with mental health resources, with NET offered after study assessments. During the study, participants complete assessments at baseline, 12 weeks post-baseline, and 24 weeks post-baseline, including PTSD symptom checklists, depression scales, life events inventories, and quality of life measures. Weekly to biweekly symptom monitoring occurs during the 12-week intervention period. Researchers track feasibility and acceptability of the NET protocol, using questionnaires and interviews. The total study duration spans up to 24 weeks after baseline for follow-up evaluations.
CONDITIONS
The New Empowerment After eXposure to Trauma (NEXT) Study
M
Michelle L. Miller, PhD
N
Neva Brown, BA
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Indiana University
Lead Sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Narrative Exposure Therapy (NET) | Usual Care |
|---|---|---|
| What it is | A structured trauma-focused psychotherapy that helps individuals process and organize traumatic memories by constructing a chronological life narrative, with a focus on addressing PTSD symptoms. | Standard care for PTSD related to pregnancy or childbirth, consisting of referrals to available mental health resources or services determined by local clinical practice. |
| Role in the trial | Active intervention being tested for feasibility, acceptability, and initial clinical outcomes in postpartum and pregnant individuals with probable PTSD. | Comparator arm representing what participants would typically receive outside the study, serving as the reference point for NET's outcomes. |
| Primary use | To reduce PTSD symptoms in pregnant and postpartum individuals by organizing and processing traumatic memories through guided therapy sessions. | To provide access to standard mental health care, ensuring participants have support options appropriate to their needs as determined by local resources. |
| How it is given or performed | Delivered by a trained therapist in individual therapy sessions, following a structured manualized format focused on building a chronological life narrative, with a focus on trauma processing. | Participants are referred to mental health resources or services and receive support as is customary in their local healthcare setting. |
| Evidence status | NET has published pilot and early clinical evidence for feasibility and acceptability in pregnant and postpartum populations, and broader literature supports NET effectiveness for PTSD in other settings, but definitive results for this trial population are not yet established. | Usual care reflects current standard clinical practice for perinatal PTSD, but outcomes for standard care alone may vary as there is limited high-quality evidence addressing PTSD specifically related to pregnancy and childbirth in routine care. |
| Important limitations | The trial is designed to assess feasibility and acceptability; results on long-term effectiveness are not yet known and evidence in perinatal PTSD remains early-stage. | Usual care practices and access to mental health resources can vary widely, potentially resulting in inconsistent support or varying intervention types; limited data exist about outcomes in routine perinatal PTSD care. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - 12 weeks
Participants receive either the Narrative Exposure Therapy (NET) intervention or usual care during pregnancy or postpartum.
Weekly to biweekly visits during the intervention period
Duration - 12 weeks
Participants complete assessments to evaluate feasibility, acceptability, and symptom changes after the intervention.
Assessments at 12 and 24 weeks post-baseline
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Michelle L Miller, Rachel S Wasson, Lily J Jiang...
https://pubmed.ncbi.nlm.nih.gov/40395722/Natalie R Stevens, Michelle L Miller, Christina Soibatian...
https://pubmed.ncbi.nlm.nih.gov/33298159/Indiana University
Lead Sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborating Sponsor